info@icaedu.in| https://icaedu.co.in/
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Application Form | ||||
| Name of Candidate | Faruk Khan |
911028120026 
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| Mother's Name | Khalikun Khatoon | |||
| Father's Name | Nurain Khan | |||
| Date of Birth * | 02-Nov-2003 | |||
| Gender | MALE | |||
| Nationality | INDIAN | |||
| Present Address | VILL:- BASATPUR :- POST:- CHHAP MATHIYA:- DIST :- GOPALGANJ (BIHAR) | |||
| Mobile No. | 9523933086 | |||
| Email Address | farukkhan4526@gmail.com | |||
Course Details |
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| Course Name /Code | Advance Diploma in Computer Application (ADCA) | |||
| Course Duration | 12 Months | |||
Center Details |
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| Center Code | 91102812 | |||
| Center Name | Soft Tech Computer Centre | |||
| Center Address | Lachwar (Mirganj) | |||
| Date of Admisison | 02-Feb-2022 | |||
| Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
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Place: _______________ Date : _______________ |
 Authorized Signatory |
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